| NPI | 1215236690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY KEITH President/CEO 703-786-8827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2307000500) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2014-05-12 |